Individual
JAIMIE BETH PEKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 COCHRAN ST, SIMI VALLEY, CA 93065-2669
(805) 206-8060
Mailing address
2412 COCHRAN ST, SIMI VALLEY, CA 93065-2669
(805) 206-8060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
494994
CA
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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